心衰竭病人的運動訓練與物理治療

Exercise Training and Physical Therapy in Patients with Heart Failure

對心衰竭病人來說，以運動為主的心臟復健，是一個重要的治療，大量研究證實，可以有效的降低心衰竭病人的再住院率，並能增加存活率，改善生活品質及活動能力。然而以心衰竭病患為主題的文獻資料量龐雜，多為單一議題的深入探索，對於初入運動治療領域，易有見樹不見林之憾。本文整理心衰竭病人在不同階段的運動訓練概念、以運動肺功能檢測的參數，看心衰竭病患的運動限制、判斷運動訓練安全性的決策分析、運動處方等幾個面向，提供臨床醫療人員一個綜觀的架構，及可參考的思考順序。期許更多運動治療的加入，讓心衰竭病患的照護計畫更加完整。

"Exercise-based cardiac rehabilitation is an essential component of care plans for heart failure patients. Numerous studies have proven that it could reduce re-hospitalization and mortality rate, and improve quality of life and functional capacity. However, heart failure related references are enormous and mostly delved into a single topic. For the novices in exercise therapy for heart failure, they may not see the forest for the trees. The purpose of the article is to provide a whole picture of the process including the treatment goals in different stages, identifying exercise limitation from parameters of cardiopulmonary tests, decision making of exercise therapy implement and how to prescribe exercise therapy, respectively. We look forward to applying more exercise therapy for heart failure patients and achieve a more comprehensive care."